Deliverance Enquiry Form

Name *

First

Last

Email *

Phone Number *

Address *

The main reason for your enquiry: *Choose from dropdown listGeneral EnquiryBook a Deliverance SessionTalk to a Team MemberOther

Preferred way to contact You: *Choose from dropdown listBy EmailBy PhoneIn PersonZoom Call

Choose preferred location for Deliverance Session: *Choose from dropdown list.Gold Coast

How did you here about our Deliverance Ministry: *Choose from dropdown listFrom Oasis Facebbok pageFrom Oasis websiteReferral from someoneOther

Have you received the Salvation Prayer or been Water Baptised? *

• Salvation Prayer
• Water Baptised
• Both of the above

Are you planted at a church? If yes, please provide name of the church? *

Message – if you require further information please leave a message below.

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